Event's Registration Form

Salutation *

Select Mr Ms Mrs Mdm Dr Assoc Professor Professor

Surname *

Given Name *

Nationality *

Select Singaporean / Singapore PR Others

Membership *

Non-Member Member Student Chapter Member

Membership No.

Company Name *

Designation *

Company Address *

Postal Code *

Email *

Contact Number *

Fax

InfoPier Member

Payment Mode *

Cash Cheque Visa/Master Card N/A

Bank Name *

Cheque No *
Card No (omit the '-' sign) *

Expiry Date * Month 010203040506070809101112 Year 201920202021202220232024202520262027202820292030203120322033203420352036203720382039

Remarks

I would like to be informed of future events organised by SCS.
* I acknowledge that I have read and understood the Personal Data Protection Policy that can be located here.


Note: The Organiser reserves the right to cancel or alter the content and timing of the programme or the identity of the speakers without prior notification. In the event that the event is cancelled by the Organiser, the registration fee will be refunded. Registration is confirmed only upon receipt and successful processing of payment.